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Miteva, M; El Shabrawi-Caelen, L; Fink-Puches, R; Beham-Schmid, C; Romanelli, P; Kerdel, F; Tosti, A.
Alopecia universalis associated with cutaneous T cell lymphoma.
Dermatology. 2014; 229(2):65-69 Doi: 10.1159/000360759 (- Case Report)
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Co-authors Med Uni Graz
Beham-Schmid Christine
El-Shabrawi-Caelen Laila
Fink-Puches Regina
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Abstract:
Alopecia areata-like hair loss may occur in the context of cutaneous T cell lymphoma (CTCL) and can very rarely evolve to alopecia universalis-like presentation. The dermoscopic findings of CTCL-related alopecia have not been described. Two patients with alopecia areata universalis-like hair loss occurring in the context of preexisting, pathology-proven CTCL are presented. Clinical examination showed subtotal scalp alopecia with sparse fine hair or total scalp alopecia with loss of eyebrows, eyelashes and body hair. On dermoscopy there was follicular or diffuse scaling, reduced number of follicular openings with broken hairs, short hairs or keratotic filiform spicules. Pathology confirmed the diagnosis of CTCL-related alopecia. One patient had almost complete hair regrowth after treatment. CTCL-related alopecia universalis is a rare non-scarring form of hair loss which simulates alopecia areata universalis. We provide clues to distinguish both based on clinical, dermoscopic and pathologic findings.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Alopecia - diagnosis
Alopecia - etiology
Dermoscopy -
Diagnosis, Differential -
Female -
Hair - pathology
Humans -
Lymphoma, T-Cell, Cutaneous - complications
Lymphoma, T-Cell, Cutaneous - diagnosis

Find related publications in this database (Keywords)
Hair loss
Alopecia
Dermatoscopy
Dermoscopy
Trichoscopy
Mycosis fungoides
Follicular mucinosis
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